1. EMR IMPLEMENTATION
KEYS TO OUR SUCCESS
Consultants In Gastroenterology P.C.
Kansas City Missouri
Presenter Michelle Morgan
2. PLAN
Recognize all stake holders
Create a mission and vision
Sell the vision and mission
Prioritize the goals expected from the EMR
with stakeholders
Patient care in the drivers seat,”Is it good for
the patient”
Resource Requirements
Change Management Implementation:
Improving communication
3. EMR MISSION
Move the practice and ambulatory centers from a
60% to 85% computer system implementation.
4. EMR VISION
To accomplish our mission we envision patient
care to exceed customer expectations. We will
strive to meet the needs of the community. Our
work environment is one of mutual trust, respect
and open communication promoting positive
professional staff and physician relationships.
We will exercise fiscal responsibility and
encourage innovation.
5. MISSION AND VISION
CREATION
The long-term vision statement outlines what
the organization wants to be
Focuses on tomorrow
Can be inspirational
Timeless
Ask: What inspires your organization?
(GE Healthcare summit, 2007)
7. COMPUTER
IMPLEMENTATION
COMMITTEE
Select individuals from each department to
represent the stakeholders
Each department will play a role (believe me)
Set specific guidelines for communication for
implementation recommendations, workflow
ideas, problems, concerns. Example: Project
management program, designated helpdesk
centralize an area for documentation
8. FINALIZING AND
ANALYZING PLAN
Does the computer
implementation team satisfy
each stakeholder?
Are they included in the
Mission and Vision
statement?
9. MEETING AGENDA
Discuss Mission and Vision, make adjustments
Set goals
Assign tasks to stakeholders
Software representative and support
Discuss resource requirements
Change Management: pre-implementation
10. EXAMPLES OF GOALS
Approved standardized physician order sets
Seamless linkage of information between the MD
office and the hospital
Ability to have results, registration and
appointments online
Multidisciplinary plan of care and nurse
admission screen that automatically populate
previously collected data
Our Ultimate Goal:100% EMR
11. GOALS
Look at these goals and prioritize
Each department are going to have different
goals
As a Team we need to focus on a set of goals.
Using SMART to finalize the goals.
SMART- Specific, Measurable, Attainable,
Realistic, Time based (Stick to the schedule)
12. RESOURCE
REQUIREMENTS
Budget needs to be established and keep in mind future
investments, additional storage, future hardware needs,
upgrades and updating systems.
Project management
Interface development
Network infrastructure
Ongoing support
Software
Hardware
Additional staff
13. CHECKLIST FOR DECISION
MAKING
Do the proposed ideas support patient safety?
Do the proposed ideas support customer service?
Do the proposed ideas improve communication efficiency?
Do the proposed ideas fit the vision?
Are the proposed ideas urgent and required for progress?
Are the proposed ideas funded?
Are the proposed ideas the most cost effective?
Are the proposed ideas sufficiently clear?
Does the outcome promote a smooth, natural transition?
Will people easily take ownership of the end result?
(Scripps, 2007 GE Healthcare summit)
14. RECOMMENDATIONS
TRAINING, TRAINING, AND MORE TRAINING IT IS NOT
AN OPTION
Establish and Develop a training program for the
implementation and incorporate that into new
employee orientation for future training.
Keep a designated area with test applications for
training.
Have realistic expectations for the changes
Expected frustration with implementing a new
workflow. There is a period of learning before a
comfort level is reached.
15. STRONGLY
ENCOURAGED
Have onsite help for physicians and staff in the initial
stages of implementation.
For Return on Investment Jump Head first and face your
fears and implement All or none with the system.
Decreases resistance to change each time something
changes.
Have follow up training
Really Involve stakeholders on Hardware needs and
usage abilities, also physicians likes and dislikes.
Make a uniform plan most physicians will agree on and
stick to it. Try not to let one physician do his on thing
while the other does something entirely different.
16. WORKFLOW TIPS
Involve all stakeholders involved in the workflow
development
Stay away from “this is how we have always done this”
therefore think outside the box
Utilize similar practices for workflow help, CHUG email
for tips and recommendations.
Give sufficient time and communicate information about
workflow change is going to happen and what to expect.
TEST the WORKFLOW mulitple times, VERY frustrating
and confusing when the workflow has to change several
times.
17. DISCOURAGE
Don’t expect staff to change their processes and
culture in one day.
Don’t implement one little piece at a time the system
works collaboratively.
Don’t forget to embrace the change as a learning
experience
Don’t forget change is guaranteed.
Don’t buy Hardware physicians won’t use so ask
them.
Don’t underestimate how much storage you will
need.
18. BOTTOM LINE
Point to Ponder……
If the Physicians don’t use it, nothing else
matters (GE Healthcare summit, 2007)
19. QUESTIONS OR
COMMENTS?
Please feel free to share about
your experiences
22. RESOURCES
GE Healthcare Summit 2007, Powerpoint
presentation.
Scripps, 2007. What a Bear attack and
implementing EMR taught me. Powerpoint.
Notes de l'éditeur
We as a group need to make sure we are working on common goals. We need to prioritize our goals for our organization and work on them as a team. We need to make it a specific, measurable, attainable, realistic and time based goals. As a group we need to do this